AVERY JOEL FENNELL
NPI 1013650225
Peer Specialist in Oklahoma City, OK

Active since April 15, 2022
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107(405) 858-2700 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, Apr 22, 2022, Apr 15, 2022 (3 updates tracked since 2022).

About Avery Joel Fennell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY JOEL FENNELL (NPI 1013650225) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1013650225
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameAVERY JOEL FENNELL
Location Address2617 GENERAL PERSHING BLVDOklahoma City, OK 73107-6437
Mailing AddressPo Box 12978Oklahoma City, OK 73157-2978
Sole ProprietorNo
Enumeration DateApril 15, 2022
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1013650225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2617 GENERAL PERSHING BLVD, Oklahoma City, OK 73107

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Social Worker
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Counselor (Mental Health)
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Counselor
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Nurse Practitioner (Psychiatric/Mental Health)
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avery Fennell's NPI number?

The NPI number for Avery Fennell is 1013650225. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Avery Fennell located?

Avery Fennell practices at 2617 General Pershing Blvd, Oklahoma City, OK 73107. The listed phone number is (405) 858-2700.

What is Avery Fennell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Avery Fennell was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.